PRIME RADIOLOGY – NPI #1942559869
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

PRIME RADIOLOGY is a radiologist located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1942559869 to PRIME RADIOLOGY on September 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME RADIOLOGY below.

NPI Profile for
PRIME RADIOLOGY

NPI Number
1942559869
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME RADIOLOGY
Primary location
1700 SE HILLMORE DRIVE
PORT SAINT LUCIE, FL 34952
Phone: (772) 335-9600 Fax:
Mailing address
3000 N. OCEAN DRIVE APT#34B
WEST PALM BEACH, FL 33404
Phone: (630) 430-5085 Fax:
Organization Subpart
No
Authorized Official
JEFFREY BONG
PRESIDENT
Phone: (630) 430-5085
Updated
Identifiers

Identifiers for PRIME RADIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL NPI1881800621
OTHERMEDICARE PTANGA2021303296
OTHERMEDICARE PTANKS016496019
OTHERMEDICARE PTANMD229515YFP0
OTHERMEDICARE PTANMO114630005
OTHERMEDICARE PTANNCMC03179974
OTHERMEDICARE PTANNCNC0317A334
OTHERMEDICARE PTANNCNC0317A427
OTHERMEDICARE PTANTX8L24508
OTHERMEDICARE PTANTX8L14039
OTHERMEDICARE PTANTX8L24509
OTHERMEDICARE PTANTX8L24510
OTHERMEDICARE PTANTXTXB137170
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 FL OS 11058

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.